Active NPI
Gerard Smith, RPH
- Pharmacist
- Windermere, FL
National Provider Identifier
1245511807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS21889
- Practice address
- 7301 Winter Garden Vineland Rd
Windermere, FL 34786-5503 - Phone
- (407) 573-1012
- Fax
- (407) 654-6902
- NPI assigned
- Sep 8, 2011
- Last updated
- Sep 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS21889 | FL | Primary |
Addresses
Primary practice location
7301 Winter Garden Vineland Rd
Windermere, FL 34786-5503
Mailing address
PO Box 1612
Windermere, FL 34786-1612
Phone (407) 876-0169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS21889 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1245511807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1612",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347861612",
"telephone_number": "407-876-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 WINTER GARDEN VINELAND RD",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347865503",
"telephone_number": "407-573-1012",
"fax_number": "407-654-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GERARD",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS21889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windermere, FL
- Lauren Elise Singrossi, LMHC
- Skin Dermatology and Cosmetic Services, P.a.
- Sleep Medicine Center, LLC
- Amy V Smith, MS, LMHC
- Elena M Smith, CPNP, DNP
- Eliana Maria Crouzeilles Sobral, SPEECH-LANGUAGE PATH
- Solrei Behavioral Health, Inc.
- Rashean Santillan Sornabala
- Cristiane Souza, PT
- SP Dental & Aesthetics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.